Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PINE LAKE HEALTH LLC

NPI: 1417908666 · LINCOLN, NE 68506 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/12/2006

$54K
Total Medicaid Paid
904
Total Claims
825
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGLENN, MATTHEW (PRESIDENT)
NPI Enumeration Date05/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $9K
2019 29 $2K
2020 26 $2K
2021 30 $2K
2022 146 $8K
2023 359 $24K
2024 162 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 648 589 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 201 187 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 40 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 13 $442.68